Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 304142 | NY |
NPI | 1629469507 |
---|---|
Provider Name | Anna Romanova |
First Address | New York, NY 10029-6503 |
Second Address | New York, NY 10029-6503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2015 |
Last Update Date | 02/07/2020 |